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KMID : 0621520080130010043
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Journal of the Korean Society for Surgery of the Hand
2008 Volume.13 No. 1 p.43 ~ p.48
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Dislocation or Subluxation of the Extensor Digitorum Communis Tendon at the Metacarpophalangeal Joint Treated by Wheeldon’s Method
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Chung Yang-Guk
Park Il-Jung
Kim Hyoung-Min
Rhee Seung-Koo
Song Seok-Whan
Jeong Chang-Hoon
Suh Yoo-Joon
Kim Bae-Gyun
Chang Dong-Gune
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Abstract
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Purpose: Dislocation or subluxation of the extensor digitorum communis (EDC) tendon at the metacarpophalangeal (MP) joint involve disruption of the radial sagittal band with ulnar subluxation of the extensor tendon. This report presents our experience using the Wheeldon’s method for centralization of the extensor tendon.
Materials and Methods: Eight patients who had the persistent symptoms 3 weeks after the injury were operated with Wheeldon’s method for correction of the extensor tendon subluxation at the MP joint. The ulnar juncturae tendinum is released from adjacent tendon and sutured to the palmar radial sagittal band remnant of the deep intermetacarpal ligament.
Results: In all patients centralization of the extensor tendons after surgery was maintained and no tendons subluxed through a full range of motion. For all patients, there was resolution of pain, and none required further surgery.
Conclusion: Wheeldon’s method for centralization of the extensor tendon is safe and simple, and avoided the need to distort normal collateral ligament or lumbrical anatomy.
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KEYWORD
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Extensor digitorum communis, Dislocation or subluxation, Metacarpophalangeal joint, Sagittal band, Wheeldon’s method, Juncturae tendinum
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